@layout("/common/_container.html",{js:["/assets/srecharge/srecharge_add.js"]}){

<script src="http://libs.baidu.com/jquery/2.0.0/jquery.js"></script>


<div class="layui-body-header">
    <span class="layui-body-header-title">添加</span>
</div>




<!--新的开店申请页面-->
<div class="layui-fluid " style="">
    <div class="layui-card">
        <div class="layui-card-body">


            <form id="" lay-filter="" class="layui-form  layui-form-pane"
                  action="">
                <input name="poId" type="hidden"/>

                <fieldset class="layui-elem-field">
                    <legend>充值申请</legend>
                    <div class="layui-field-box">

                        <fieldset class="layui-elem-field layui-field-title">
                            <legend>基础信息</legend>
                            <div class="layui-field-box">


                                <div class="layui-form-item pane">
                                    <label class="layui-form-label">经办人<span
                                            style="color: red;">*</span></label>
                                    <div class="layui-input-block">
                                        <input id="poAgent" name="poAgent" placeholder="" type="text"
                                               class="layui-input"
                                               lay-verify="required" required readonly value="${username}"/>
                                    </div>
                                </div>

                                <div class="layui-form-item pane">
                                    <label class="layui-form-label">经办人部门<span
                                            style="color: red;">*</span></label>
                                    <div class="layui-input-block">
                                        <input id="poAgentDept" name="poAgentDept" placeholder=""
                                               type="text"
                                               class="layui-input"
                                               lay-verify="required" required readonly value="${deptName}"/>
                                    </div>
                                </div>
                            </div>
                        </fieldset>

                        <fieldset class="layui-elem-field layui-field-title">
                            <legend>添加申请</legend>




                            <div class="layui-fluid " style="">
                                <div class="layui-card">
                                    <div class="layui-card-body">
                                        <form id="srechargeForm" lay-filter="srechargeForm" class="layui-form model-form" style="max-width: 700px;margin: 40px auto;">
                                            <!--<input name="id" type="hidden"/>-->

                                            <div class="layui-form-item">
                                                <label class="layui-form-label">类型</label>
                                                <div class="layui-input-block">
                                                    <select id="type" name="type" lay-verify="">
                                                        <option value="" selected>请选择充值类型</option>
                                                        @for(item in srecharge){
                                                        <option value="${item.id}">${item.types}</option>
                                                        @}
                                                    </select>
                                                </div>
                                            </div>

                                            <div class="layui-form-item">
                                                <label class="layui-form-label"><span style="color: #000000;">本次充值金额</span></label>
                                                <div class="layui-input-block">
                                                    <input id="number" name="number" placeholder="请输入本次充值金额" type="text" class="layui-input" lay-verify="required" required/>
                                                </div>
                                            </div>

                                            <fieldset class="layui-elem-field layui-field-title">
                                                <legend>备注</legend>
                                                <div class="layui-field-box">
                                                    <div class="row">
                                                        <div class="layui-form-item pane">
                        <textarea id="remarks" placeholder="备注" class="layui-textarea fly-editor"
                                  name="remarks"></textarea>
                                                        </div>
                                                    </div>
                                                </div>
                                            </fieldset>

                                            <div class="layui-form-item">
                                                <div class="layui-input-block">
                                                    <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
                                                    <button class="layui-btn layui-btn-primary" type="button" id="backupPage">&emsp;返回&emsp;</button>
                                                </div>
                                            </div>

                                        </form>
                                    </div>
                                </div>
                            </div>










                        </fieldset>
                    </div>
                </fieldset>

            </form>
        </div>
    </div>
</div>




















@}